Provider Demographics
NPI:1720235278
Name:S AND J ALVORD PHARMACY
Entity Type:Organization
Organization Name:S AND J ALVORD PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JARROD
Authorized Official - Middle Name:
Authorized Official - Last Name:LINK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-427-2801
Mailing Address - Street 1:115 EAST BYPASS 287
Mailing Address - Street 2:STE B
Mailing Address - City:ALVORD
Mailing Address - State:TX
Mailing Address - Zip Code:76225
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:115 EAST BYPASS 287
Practice Address - Street 2:STE B
Practice Address - City:ALVORD
Practice Address - State:TX
Practice Address - Zip Code:76225
Practice Address - Country:US
Practice Address - Phone:940-427-2801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-26
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261573336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy